Remove 2017 Remove Hyperthermia / Hypothermia Remove Stroke
article thumbnail

SGEM#199: Therapeutic Hypothermia – What is it Good For?

The Skeptics' Guide to EM

[display_podcast] Date: November 27th, 2017 Reference: Legriel et al. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. Case: Johnny is a […] The post SGEM#199: Therapeutic Hypothermia – What is it Good For? display_podcast] Date: November 27th, 2017 Reference: Legriel et al. Reference: Legriel et al.

article thumbnail

The Latest in Critical Care, 1/22/24 (Issue #26)

PulmCCM

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.), 2017 Sep-Oct;50(5):561-569. Epub 2017 Apr 19. Vital signs were within normal limits on arrival to the Emergency Department.

EKG/ECG 113
article thumbnail

Targeted temperature management for post-cardiac arrest is officially over (for now)

PulmCCM

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.

article thumbnail

Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In the bleeding trauma patient, fluid resuscitation aims to avoid the diamond of death (acidosis, coagulopathy, hypothermia and hypocalcaemia). It can cause significant internal injuries, including carotid artery dissection, stroke, and acquired brain injury, but in 50% of patients, there are no external signs of injury.

article thumbnail

Neonatal Hypotension

Don't Forget the Bubbles

Neonatal hypotension can result from inadequate cardiac output, low systemic vascular resistance, or a combination of both, which are influenced by: Cardiac Output: Neonates, particularly preterm ones, may have compromised cardiac output due to myocardial immaturity, leading to reduced stroke volume and heart rate. El-Khuffash, A.

Sepsis 59
article thumbnail

EM@3AM: Hyperthermia

EMDocs

Both can result in heat exhaustion and heat stroke and have many overlapping symptoms. Patients with heat stroke have hot, dry skin and altered mental status (e.g., C, and heat stroke occurs at a core temperature > 40°C. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure.